[ORT-L] peri-prosthetic femur fracture


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[ORT-L] peri-prosthetic femur fracture

Gary.Jones at concordortho
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Dec 17, 2007, 9:13 AM

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[ORT-L] peri-prosthetic femur fracture	Can't Post

This 44 yo female had a THA 2/07. 4/07 she slipped and sustained a spiral fracure which I treated, obviously not indirectly. This was very difficult to reduce (long limb due to THA?). There was a split in the proximal femur (hence the cable). Has been kept PWB. Fatigue fracture of plate this weekend.

I am planning repeat plating. Probably going to use Infuse, though I would consider autogenous graft as well. I am thinking about femoral allograft strut afixed to the medial side with cable proximal, screws below. Any advice ?

Gary S. Jones, M.D.
Concord Orthopaedics, P.A.
gary.jones@concordortho.com
Physician Coordinator: Nancy Shurtleff
Direct dial (603) 724-2337
FAX: 603 228-7268
The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon this information by person or entities other than the intended recipient is prohibited. If you received this e-mail in error, please contact the sender and delete the information from any computer.

Gary.Jones at concordortho
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Dec 17, 2007, 9:35 AM

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Re: [ORT-L] peri-prosthetic femur fracture [In reply to]	Can't Post

Sorry, forgot to attach the films. I will do so this evening.

Gary S. Jones, M.D.
Concord Orthopaedics, P.A.
gary.jones@concordortho.com
Physician Coordinator: Lynn Maddox
Direct dial (603) 724-2337
FAX: 603 228-7268
The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon this information by person or entities other than the intended recipient is prohibited. If you received this e-mail in error, please contact the sender and delete the information from any computer.

>>> "Gary Jones" <Gary.Jones@concordortho.com> 12/17/2007 12:13:15 PM >>>

This 44 yo female had a THA 2/07. 4/07 she slipped and sustained a spiral fracure which I treated, obviously not indirectly. This was very difficult to reduce (long limb due to THA?). There was a split in the proximal femur (hence the cable). Has been kept PWB. Fatigue fracture of plate this weekend.

I am planning repeat plating. Probably going to use Infuse, though I would consider autogenous graft as well. I am thinking about femoral allograft strut afixed to the medial side with cable proximal, screws below. Any advice ?

Gary S. Jones, M.D.
Concord Orthopaedics, P.A.
gary.jones@concordortho.com
Physician Coordinator: Nancy Shurtleff
Direct dial (603) 724-2337
FAX: 603 228-7268
The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon this information by person or entities other than the intended recipient is prohibited. If you received this e-mail in error, please contact the sender and delete the information from any computer.

Gary.Jones at concordortho
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Dec 17, 2007, 3:27 PM

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Re: [ORT-L] peri-prosthetic femur fracture [In reply to]	Can't Post

Enclosed are x-rays

Gary S. Jones, M.D.
Concord Orthopaedics, P.A.
gary.jones@concordortho.com
Physician Coordinator: Nancy Shurtleff
Direct dial (603) 724-2337
FAX: 603 228-7268
The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon this information by person or entities other than the intended recipient is prohibited. If you received this e-mail in error, please contact the sender and delete the information from any computer.

>>> "Gary Jones" <Gary.Jones@concordortho.com> 12/17/2007 12:13 PM >>>
This 44 yo female had a THA 2/07. 4/07 she slipped and sustained a spiral fracure which I treated, obviously not indirectly. This was very difficult to reduce (long limb due to THA?). There was a split in the proximal femur (hence the cable). Has been kept PWB. Fatigue fracture of plate this weekend.

I am planning repeat plating. Probably going to use Infuse, though I would consider autogenous graft as well. I am thinking about femoral allograft strut afixed to the medial side with cable proximal, screws below. Any advice ?

Gary S. Jones, M.D.
Concord Orthopaedics, P.A.
gary.jones@concordortho.com
Physician Coordinator: Nancy Shurtleff
Direct dial (603) 724-2337
FAX: 603 228-7268
The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon this information by person or entities other than the intended recipient is prohibited. If you received this e-mail in error, please contact the sender and delete the information from any computer.

Attachments:

femur.jpg (165 KB)

2.jpg (123 KB)

alex61 at gmail
New User

Dec 18, 2007, 2:13 AM

Post #4 of 4 (490 views)
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Re: [ORT-L] peri-prosthetic femur fracture [In reply to]	Can't Post

Dear Gary

2007/12/17, Gary Jones <Gary.Jones@concordortho.com>:
>
> I am planning repeat plating. Probably going to use Infuse, though I
> would consider autogenous graft
>

In a similar case i presented here for advice we decided to give up plating
and turn to nailing as more biomechanically beneficial, and because of
cylindrical shape of the stem tip (DePuy AML). A custom-made nail was used.
The surgery was 4 weeks ago. Now she walks with a cane. Looks like the
distal stem in your case could allow something like this.

--
Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia

Attachments:

get_image1.jpg (8.88 KB)

get_image2.jpg (10.7 KB)

get_image3.jpg (7.68 KB)

get_image4.jpg (7.21 KB)

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